Active NPIIndividual provider

Dr. Jinyoung S Jin, DDS

Dentist, General Practice in Palisades Park, New Jersey

NPI Number1164654877
Practice location
535 Broad Ave, 2FL, Palisades Park, NJ 07650-1607
Fax
201-592-0069
Last updated
October 20, 2014

Jinyoung Sarah Jin is a Dentist, General Practice based in Palisades Park, NJ. Jinyoung Sarah Jin practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Jinyoung Sarah Jin is 1164654877 and holds a License No. 054565 (NY). The current practice location address for Jinyoung Sarah Jin is 535 Broad Ave, 2FL, Palisades Park, NJ 07650-1607 and can be reached out via phone at 201-592-0111 and via fax at 201-592-0069.

Provider Profile Details

NPI Number
1164654877
Provider Name
Jinyoung Sarah Jin
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
535 Broad Ave, 2FL, Palisades Park, NJ 07650-1607
Phone Number
201-592-0111
Fax Number
201-592-0069
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 13, 2009
Last Update Date
October 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Broad Ave
2FL
Palisades Park, NJ 07650-1607
Zip
07650-1607
Phone Number
201-592-0111
Fax Number
201-592-0069
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
535 Broad Ave
2FL
Palisades Park, NJ 07650-1607
City
Palisades Park
State
NJ
Zip
07650-1607
Phone Number
201-592-0111
Fax Number
201-592-0069

License Information

License Number
054565
License State
NY
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jinyoung S Jin, DDS?

The NPI number of Dr. Jinyoung S Jin, DDS is 1164654877. It was assigned on August 13, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Jinyoung S Jin, DDS?

Dr. Jinyoung S Jin, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 054565.

Where does Dr. Jinyoung S Jin, DDS practice?

The practice location is 535 Broad Ave, 2FL, Palisades Park, NJ 07650-1607. The office can be reached at 201-592-0111 (phone) or 201-592-0069 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164654877 directly on the NPPES registry website.

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